Blinman Community Shed: New Membership Form

Our membership fees are $60 per calendar year, paid upon signup and then every January thereafter.

The membership fee provides you with access to the Blinman Community Shed & Garden facilities, and covers the required public indemnity insurance fees associated with your membership.

There is no pro-rata price reduction if you sign up part way through the year (i.e. you will be asked to pay a full membership fee in January of the following year no matter what month you signed up).

We will send a reminder out each January to renew your membership.

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Birthday

Day

Month

Year

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship

Please check this box to confirm: I seek membership of the Blinman Community Shed Inc, and I understand that in order to participate in activities and the use of facilities I need to declare any health conditions that I have that may affect my personal safety or the safety of other members. I agree to abide by the rules and code of conduct as laid down in the Blinman Community Shed constitution.

Please disclose any relevant health conditions or information that may affect your safety here (This information is kept confidentially, your privacy is assured):

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

You can draw or type your name here as a record of your membership application.

Choose either option by selecting either the pen or typing tool above.

Membership Fee

$60

By pressing 'Submit' you agree to pay the annual membership fee of $60.

You will be directed to our checkout page once you hit 'Submit' to finalise the transaction.

If you have any questions about our membership fees or our organisation, please don't hesitate to reach out to us via our contact page.

BLINMAN COMMUNITY SHED

Blinman Community Shed: New Membership Form

BLINMAN
COMMUNITY SHED